CaRMS Forum
2017 R-1 Main Residency Match
Outcomes and insights
April 30, 2017
The Canadian Resident Matching Service
Match overview
Program application
the program perspective
CMG choices
R-1 match
Supply and demand
IMG results
Unmatched and unfilled
Match overview
4
The Canadian Resident Matching Service
CaRMS by the numbers
New!
Client services
Applications
2017 R-1 Main Residency Match
First and second iterations combined
2017 R-1 Main Residency Match
First and second iterations combined
3,009
chats
644
1,131
programs
documents
translated
3,305
9,760
36,892
calls to the
help desk
reference
letters
5,372
applicants
quota
97.05%
satisfaction
rating
10,577
emails
9.4%
128,334
applications
4.9%
5
The Canadian Resident Matching Service
Applicant pool breakdown 2017
First and second iterations combined
REGISTRANTS
WITHDRAWN
APPLICANTS
ACTIVE
APPLICANTS
FINAL
PARTICIPANTS*
CMG
3,005
25
2,969
2,955
IMG
2,495
58
2,348
1,811
69
8
55
46
USMG
*Final participants: submitted a rank order list.
Does not double count if an applicant participates in first and second iterations.
6
The Canadian Resident Matching Service
2017 R-1 match national highlights
219
First iteration
Graduate type
Current Year
Prior Year
# Matched
# Unmatched
# Matched
# Unmatched
CMG
2,644 (94.1%)
166
60 (72.3%)
23
USMG
22 (55.0%)
18
2 (50.0%)
2
IMG
108 (44.8%)
133
250 (18.2%)
1,126
3,086
Second iteration
Graduate type
Current Year
64
Prior Year
# Matched
# Unmatched
# Matched
# Unmatched
CMG
70 (50.7%)
68
32 (41.0%)
46
USMG
0
0
0
3
12 (17.4%)
57
41 (4.5%)
879
IMG
155
Filled
Unfilled
7
The Canadian Resident Matching Service
2017 R-1 match regional highlights (applicant view)
First iteration
Region
Current Year
Prior Year
# Matched
# Unmatched
# Matched
# Unmatched
Western
783 (94.8%)
43
11
3
Ontario
868 (93.0%)
65
20
9
Quebec
816 (94.2%)
50
26
11
Eastern
177 (95.7%)
8
9
0
Second iteration
Region
Current Year
Prior Year
# Matched
# Unmatched
# Matched
# Unmatched
Western
17 (45.9%)
20
7
15
Ontario
22 (38.6%)
35
12
18
Quebec
29 (78.4%)
8
8
7
Eastern
2 (28.6%)
5
5
6
% Unmatched
current year CMGs
after second
iteration
National: 2.4%
Western: 2.4%
Ontario: 3.8%
Quebec: 0.9%
Eastern: 2.7%
8
The Canadian Resident Matching Service
2017 R-1 match highlights by region (program quota view)
Western
Ontario
50
58
Quebec
Eastern
16
95
First
iteration
943
1,134
94.95%
fill rate
Second
iteration
95.13%
fill rate
89.54%
fill rate
2
4
46
99.60%
total fill rate
196
813
37
58
56
99.83%
total fill rate
93.61%
total fill rate
92.45%
fill rate
0
16
100%
total fill rate
9
The Canadian Resident Matching Service
Summary of 2017 match results
First and second iterations combined
Applicant type
# matched
% matched
Current year CMG
2,714
96.5
Previous year CMG
92
64.8
IMG
411
22.7
USMG
24
52.2
10
The Canadian Resident Matching Service
Couples match rates (2014-2017)
2014 (N = 107)
8%
92%
2015 (N = 115)
2%
98%
2016 (N = 105)
4%
96%
*includes couples that matched only one partner
2017 (N = 112)
4%
96%
11
The Canadian Resident Matching Service
Who entered postgraduate training in Canada
(2011-2017)
2017
92
2016
72
2015
73
2728
421 26
2014
69
2710
449 27
2013
74
2571
2012
65
2557
2011
50
0
411 24
2714
408 18
2761
2457
500
1,000
Prior year CMGs matched
1,500
2,000
Current year CMGs matched
2,500
IMGs matched
499 25
407 31
380 22
3,000
USMGs matched
3,500
Program application:
the program perspective
13
The Canadian Resident Matching Service
Program application and selection information:
Discipline 1
108
69
53
35
21
3
2
University A
Quota
14
# Applicants
20
5
University B
# Applicants ranked by program
2
2
University C
Program ranking level to fill quota
14
The Canadian Resident Matching Service
Program application and selection information:
Discipline 2
122
59
57
43
40
30
15
4
2
University A
Quota
# Applicants
2
University B
# Applicants ranked by program
10
4
University C
Program ranking level to fill quota
CMG choices
16
The Canadian Resident Matching Service
Graduate mobility: emigration by school of medicine in 2017
100%
90%
80%
70%
60%
50%
40%
30%
20%
10%
0%
MUN DAL
LAV
SHE MON McG
Home school
OTT
QUE NOS TOR MCM WES MAN
Same province
Out of province
SAS
ALB
CAL
BC
17
The Canadian Resident Matching Service
Graduate mobility: immigration by school of residency in 2017
100%
90%
80%
70%
60%
50%
40%
30%
20%
10%
0%
MUN DAL
LAV
SHE MON McG
Home school
OTT
QUE NOS TOR MCM WES MAN SAS
Same province
Out of province
ALB
CAL
BC
18
The Canadian Resident Matching Service
Graduate mobility: emigration at national level (2013-2017)
100%
90%
80%
70%
60%
50%
40%
30%
20%
10%
0%
2013
2014
Home school
2015
Same province
2016
Out of province
2017
19
The Canadian Resident Matching Service
Average number of program applications by CMG and IMG
applicants in the first iteration (2007-2017)
30
25
IMG: 24.0
20
CMG: 18.8
15
10
5
0
2007
2008
2009
2010
2011
2012
CMG
2013
IMG
2014
2015
2016
2017
20
The Canadian Resident Matching Service
CMG match results by first and lower rank choices: ROL frequency distribution
100%
1,800
1,600
1,545
90%
80%
1,400
70%
1,200
60%
1,000
50%
800
600
400
200
0
40%
30%
424
213
13489
20%
75 45
23 20 19 12 13 13 10 13 10 9 5 3 2 2 5 2 2 2 2 1 2 2 1 2 2 2
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 22 23 25 28 29 30 32 34 38 46 48 82 91
Rank choice
Cumulative %
# Matched
10%
0%
21
The Canadian Resident Matching Service
CMGs matched to first choice discipline (1995-2017)
100%
95%
2017: 87.4%
90%
85%
Min: 86.4% in 2001
Max: 92.1% in 2011
Range: 5.7%
Average: 89.4%
80%
75%
70%
1995
1997
1999
2001
2003
2005
2007
2009
2011
2013
2015
2017
22
The Canadian Resident Matching Service
CMGs matched to first choice discipline by region
(2012-2017)
100%
95%
Ontario: 93.2%
90%
Western: 89.5%
Eastern: 88.3%
National: 87.4%
85%
80%
Quebec: 79.1%
75%
2012
2013
2014
Eastern
Ontario
2015
Quebec
2016
Western
2017
National
23
The Canadian Resident Matching Service
CMGs matched to one of their top three program choices
(1995-2017)
100%
Program choice
2017
95%
90%
85%
80%
75%
70%
1995
1997
1999
2001
2003
2005
2007
2009
2011
2013
2015
2017
First
53.4%
Second
14.7%
Third
7.4%
Fourth
4.6%
Fifth
3.1%
Sixth
2.6%
Seventh
7.7%
24
The Canadian Resident Matching Service
CMG discipline choices (1995-2017)
45%
40%
35%
30%
25%
20%
15%
10%
5%
0%
1995
1997
1999
Family Medicine
2001
2003
Internal Medicine
2005
2007
2009
Surgical disciplines
2011
2013
2015
Non-surgical disciplines
2017
25
The Canadian Resident Matching Service
First choice disciplines for CMGs (2015-2017)
Top 10 first
choice disciplines
2015
2016
2017
Family Medicine
38.5%
36.2%
34.0%
Internal Medicine
13.6%
15.2%
16.0%
Surgical disciplines
12.5%
13.2%
13.8%
Psychiatry
6.0%
6.0%
6.2%
Pediatrics
5.5%
5.8%
5.9%
Anesthesiology
4.8%
4.8%
4.8%
4.2%
4.4%
4.1%
Emergency
Medicine
Obstetrics &
Gynecology
Diagnostic
Radiology
Dermatology
3.9%
3.8%
3.9%
3.4%
2.6%
3.1%
1.8%
2.2%
2.1%
2016
2015
35.6%
35.1%
62.2%
64.2%
0.7%
2.2%
2017
42.9%
56.5%
Supply > demand
Supply = demand
Demand > supply
0.6%
Supply and demand
27
The Canadian Resident Matching Service
3,500
80
3,000
70
2,500
60
50
2,000
40
1,500
30
1,000
20
500
10
0
Unmatched current year CMGs
Participation and quota
First iteration participation and quota, second
iteration unmatched (2007-2017)
0
2007
IMG quota
2008
2009
CMG quota
2010
2011
IMG participation
2012
2013
2014
CMG participation
2015
2016
2017
Unmatched current year CMG
28
The Canadian Resident Matching Service
CMG quota, participation and ratio (2008-2017)
3,500
3,000
2,500
1.11
2,000 45
1.08
1.04
1.04
1.022
1.026
2,886
2,921
2,973
2,984
2,970
2,967
83
68
71
68
62
46
32
35
29
2,778
2,717
2,595
2,379
1.10
1.11
1.12
1.08
1,500
1,000
2,089
2,284
2,403
2,496
2,626
2,633
2,779
2,791
2,836
2,810
2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
500
0
Participation - current year CMGs
Participation - prior year CMGs
Quota
Ratio of quota to CMGs
29
The Canadian Resident Matching Service
Quota and CMG count by region in 2017
1,200
* Pre-screened
IMGs can apply
for all positions
in Quebec
1,000
800
600
400
200
0
Western
IMG quota
Quebec
CMG quota
Ontario
Prior year CMGs
Eastern
Current year CMGs
30
The Canadian Resident Matching Service
Supply and demand ratio: CMG quota filled in 2017
1.8
1.6
1.4
Western
1.2
Ontario
1
Quebec
Eastern
0.8
National
0.6
0.4
0.2
0
FM
IM
Surgery
Next 7
31
The Canadian Resident Matching Service
Supply and demand ratio: CMG quota filled for Family Medicine
(2012-2017)
1.8
1.7
1.6
1.5
National
1.4
Western
1.3
Ontario
1.2
Quebec
1.1
Eastern
1
0.9
0.8
2012
2013
2014
2015
2016
2017
32
The Canadian Resident Matching Service
First choice discipline compared to availability (supply > demand)
Hematological Pathology
3.00
General Pathology
2.67
Neuropathology
2.50
Medical Microbiology
2.50
Radiation Oncology
2.22
Nuclear Medicine
2.00
Medical Genetics
2.00
Family Medicine
1.38
Public Health and Preventive Medicine
1.26
Anatomical Pathology
1.24
Psychiatry
1.01
Vascular Surgery
1.00
Neurology - Pediatric
1.00
(Positions/applicant first choice discipline)
33
The Canadian Resident Matching Service
First choice discipline compared to availability (demand > supply)
Dermatology
Plastic Surgery
Emergency Medicine
Neurosurgery
Urology
Obstetrics and Gynecology
Ophthalmology
Otolaryngology
Neurology
Anesthesiology
Pediatrics
General Surgery
Cardiac Surgery
Diagnostic Radiology
Orthopedic Surgery
Physical Medicine & Rehabilitation
Internal Medicine
0.51
0.53
0.56
0.58
0.63
0.68
0.71
0.72
0.72
0.72
0.77
0.78
0.80
0.88
0.89
0.90
0.97
(Positions/applicant first choice discipline)
34
The Canadian Resident Matching Service
Highest demand ratios: CMGs first discipline choice
compared to availability (2015-2017)
Average: 0.57
0.8
0.7
0.6
0.0
2015
2016
2017
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
92.6%
0.1
96.7%
0.2
100%
0.3
100%
0.4
96.3% fill rate
0.5
35
The Canadian Resident Matching Service
Lowest demand ratios: CMGs first discipline choice
compared to availability (2015-2017)
8.0
Average: 2.93
7.0
6.0
5.0
2015
2016
2017
65%
60%
40%
50%
33.3%
71.4%
42.9%
72.8%
42.9%
40%
72.5%
0.0
50%
1.0
50%
2.0
25%
3.0
28.6% fill rate
4.0
The Canadian Resident Matching Service
Interactive data tool demo
36
IMG results
38
The Canadian Resident Matching Service
Number of IMG registrants (2008-2017)
Mandatory NAC OSCE
3,500
3,000
New IMG
registrants
2,500
2,000
Returning
IMG
registrants
1,500
1,000
500
0
New IMG registrants
Returning IMG registrants
2008
1,077
985
2009
1,145
1,103
2010
1,263
1,183
2011
1,424
1,357
2012
1,579
1,508
2013
1,614
1,551
2014
1,600
1,564
2015
995
1,526
2016
954
1,351
2017
1,109
1,386
39
The Canadian Resident Matching Service
Where IMGs are training
0.7%
14.1%
9.0%
5.8%
5.8%
10.0%
51.3%
3.2%
40
The Canadian Resident Matching Service
Regional IMG match results
Region
Final participation
% matched
Africa
247
13%
Asia
377
15%
Central America/Caribbean
389
20%
Europe
421
37%
Middle East
269
18%
Mexico
6
17%
Oceania/Pacific Islands
61
46%
South America
41
22%
41
The Canadian Resident Matching Service
Where IMG participants went to medical school
# participants: 1,811
# countries: 105
# schools: 469
97
30
12
17
17
13
Percent matched
0.00%
Country: Ireland
Matched: 23.60%
Final participation: 197
23.60%
Country: Iran
Matched: 7.30%
Final participation: 163
28
Country: Pakistan
Matched: 4.14%
Final participation: 147
Country: Egypt
Matched: 2.92%
Final participation: 133
Country: India
Matched: 4.14%
Final participation: 113
Country: Australia
Matched: 6.81%
Final participation: 61
Country: Saint Kitts and Nevis
Matched: 3.16%
Final participation: 89
Unmatched and unfilled
43
The Canadian Resident Matching Service
Unmatched current year CMGs after second iteration
(2007-2017)
3.0%
2.4%
2.5%
Min: 0.5%
Max: 2.4%
Range: 1.9%
Average: 1.3%
2.0%
2.0%
1.6%
1.6%
2012
2013
1.7%
1.4%
1.5%
1.0%
0.9%
0.8%
0.7%
0.5%
0.5%
2008
2009
0.5%
0.0%
2007
2010
2011
2014
2015
2016
2017
The Canadian Resident Matching Service
Unmatched
current year
CMGs after
second iteration,
by school
44
45
The Canadian Resident Matching Service
Categorizing unmatched CMGs
2015
2016
3%
5%
11%
5%
38%
N=39
2017
26%
7%
N=46
13%
32%
N=68
54%
56%
50%
46
The Canadian Resident Matching Service
Unmatched CMG journey (2013)
Unknown
Journey
2013 second
iteration
4
2015 second
iteration
1
matched 0
unmatched 1
matched 59
unmatched 41
2014 first
iteration
35
matched 30
unmatched 5
2
5
2015 first
iteration
2014 second
iteration
1
matched 1
unmatched 2
Net unmatched: 0
Net unknown journey: 6
matched 2
unmatched 3
2
Unknown
Journey
1
2016 first
iteration
1
matched 1
unmatched 1
1
2016 second
iteration
matched 0
unmatched 1
2017 second
iteration
2017 first
iteration
1
matched 0
unmatched 1
1
matched 1
unmatched 0
47
The Canadian Resident Matching Service
Unmatched CMG summary
New
Match
year
Participants
%
matched
in match
year
Number
unmatched
(1st and 2nd)
Number
subsequently
matched
%
matched
to date
Remaining
unmatched
Unknown
journey
2013
2,635
97.57
62
49
99.43
1
14
2014
2,781
97.45
71
51
99.28
2
18
2015
2,792
97.71
64
51
99.53
5
8
2016
2,838
97.29
77
59
99.37
8
10
48
The Canadian Resident Matching Service
Unfilled positions by discipline
Discipline
After first After second
iteration
iteration
Discipline
After first After second
iteration
iteration
Family medicine
158
56
Medical Genetics
2
-
Psychiatry
10
1
Neuropathology
2
1
PHPM
7
-
Pediatrics
2
-
Radiation Oncology
7
-
Dermatology
1
-
Anatomical Pathology
5
3
General Pathology
4
-
Medical Biochemistry
1
-
Internal medicine
4
-
Neurology
1
-
Medical microbiology
4
2
Neurology - Pediatric
1
-
Diagnostic Radiology
3
-
Physical Med & Rehab
1
-
Nuclear Medicine
3
-
Urology
1
-
Hematological Pathology
2
1
TOTAL
219
64
49
The Canadian Resident Matching Service
Unfilled positions and unmatched graduates after
second iteration, by region
Unfilled positions (64)
Unmatched current graduates (68)
Unmatched prior graduates (46)
4
58
20
15
2
8
35
7
18
5
6
50
The Canadian Resident Matching Service
Unfilled positions and unmatched graduates after
second iteration, by language
Unfilled
positions
French
58
English
6
Unmatched
current year
graduates
French
2
Bilingual
4
English
62
Unmatched
prior year
graduates
French
1
Bilingual
7
English
38
51
The Canadian Resident Matching Service
Unfilled positions and unmatched graduates after
second iteration, by language
Unfilled positions (64)
FR: 58
EN: 3
EN: 4
FR: 2
EN: 20
BIL: 3
EN: 14
BIL: 1
EN: 2
EN: 35
EN: 17
BIL: 1
EN: 1
FR: 1
BIL: 5
EN: 4
BIL: 1
EN: 6
English (6)
French (58)
Unmatched current grads (68)
English (62)
French (2)
Bilingual (4)
Unmatched prior grads (46)
English (38)
French (1)
Bilingual (7)
52
The Canadian Resident Matching Service
Revisiting the 2017 R-1 match national highlights
219
First iteration
Graduate type
Current Year
Prior Year
# Matched
# Unmatched
# Matched
# Unmatched
CMG
2,644 (94.1%)
166
60 (72.3%)
23
USMG
22 (55.0%)
18
2 (50.0%)
2
IMG
108 (44.8%)
133
250 (18.2%)
1,126
3,086
Second iteration
Graduate type
Current Year
64
Prior Year
# Matched
# Unmatched
# Matched
# Unmatched
CMG
70 (50.7%)
68
32 (41.0%)
46
USMG
0
0
0
3
12 (17.4%)
57
41 (4.5%)
879
IMG
155
Filled
Unfilled
The Canadian Resident Matching Service
Available positions and applicant interest
•
•
•
When factoring in prior year participants – ratio is 1.02 for last two years
Increased demand for Internal Medicine creates tipping point
Interactive data provides discipline level insights
Program applications
•
•
Continued increase
Significant program effort in selection process evident in #s
Regional and language specific data
•
Regional and language oriented data provides a new perspective in important
areas
Unmatched Canadian graduates
•
•
Current year increase
Ultimate match % consistent over past four years
53
Thank you